<%
layout("/inc/layout.html",{
title:'残联监护人信息 - 残联申请 - 智慧洛龙',
keywords:'残联监护人信息,残联申请,智慧洛龙',
description:'残联监护人信息,残联申请,智慧洛龙',
style:'index.css'
}){
%>
<section class="container">
	<div class="row mt15 text-left">  
	    <ul class="breadcrumb">
	    	<li>当前位置：</li>
			<li><a href="/">主页</a></li>
	        <li><a href="/list/1">个人办事</a></li>
	        <li>残联申请</li>
	    </ul>
    </div>
</section>
<section class="container">
	<div class="row">
		<div class="panel panel-info">
			<div class="panel-heading text-left">
				<ul class="nav nav-tabs">
					<li><a href="/disabilityApply/base"><b>残联申请</b></a></li>
					<li><a href="/disabilityChange/base"><b>残联变更</b></a></li>
					<li><a href="/disabilityReapply/reapply"><b>残联补办</b></a></li>
					<li class="active"><a href="/disabilityCancel/cancel"><b>残联注销</b></a></li>
				</ul>
			</div>
			<div class="panel-body listDiv">
				<legend>
					<span class="text text-danger" id="messageCode">已申请残联列表</span>
				</legend>
				<div class="table-responsive">
					<table id="disabilityList"></table>
				</div>
			</div>
			<div class="panel-body changDiv" style="display: none;">
				<legend>
					<span class="text text-danger" id="messageCode">残联注销信息</span>
				</legend>
				<form class="form-horizontal" id="disabilityInfo">
					<input id="applyId" type="hidden" name="originalApplyId"   >
			  		<div class="col-sm-offset-1 col-md-10">
				  		<div class="form-group">
						    <label class="col-sm-2 control-label">残联注销</label>
						    <div class="col-sm-8">
					      		<input  id="showName" type="text" class="form-control"  disabled="disabled">
					      		<input  id="name" type="hidden" name="name" >
						    </div>
				  		</div>
				  		<div class="form-group">
						    <label class="col-sm-2 control-label">注销原因</label>
						    <div class="col-sm-8">
						    	<textarea class="form-control" rows="6" name="cancelReason" placeholder="请输入注销原因"></textarea>
						    </div>
				  		</div>
			  		</div>
				</form>
			</div>
			<div class="panel-footer changDiv" style="display: none;">
      			<div class="col-sm-offset-5 clearfix">
						<div class="mt5 mb5 block col-sm-3">
							<button id="doSubmit" id="submitAgent"
								class="btn btn-success btn-lg btn-outline btn-block">提交</button>
						</div>
					</div>
			</div>
		</div>
	</div>
</section>
<% } %>
<script>
    require(['modules/disability_apply'], function (apply) {
        apply.cancel();
    });
</script>
</body>
</html>
